Matches in SemOpenAlex for { <https://semopenalex.org/work/W1584316056> ?p ?o ?g. }
Showing items 1 to 98 of
98
with 100 items per page.
- W1584316056 abstract "There are now convincing data showing that cystectomy of the endometrioma is not only no cure of infertility, but may harm follicle reserve. The question arises why is cystectomy for an endometrioma, in contrast with other -benign cysts, a risk for follicle reserve and how can ovarian damage be prevented. Surgical specimens of ovaries with endometrioma in situ show in the majority of cases manifestly a combined -extra-ovarian and intra-ovarian pathology with the cortex invaginated to form a pseudocyst. The extra-ovarian pathology includes endometrial lining of the cortex, bleeding and adhesions with surrounding tissues. The intra-ovarian pathology is characterized by microscopic stromal implants, fibrosis, smooth muscle metaplasia and -arteriosclerosis, all affecting follicle reserve in the endometrioma bed. Clinically, ovarioscopy allows differential diagnosis (e.g. luteal cyst) and evaluation of the degree of fibrosis and darkening of the cortical wall. Transvaginal colour Doppler sonography can demonstrate the presence and extent of devascularisation in the endometrioma bed. Given this reality, surgery should be based on evaluation of the pathology of the endometrioma bed, but not on the mere size of the chocolate cyst. The main clinical problem is indeed the delayed diagnosis and consequently advanced irreversible cortical damage. Therefore, the sooner endometriomas are diagnosed, the better, because it increases the chances that vascularisation of the endometrioma bed is preserved. Finally, ablation, but not excision is the treatment of choice. The diagnosis of endometriosis is traditionally based on laparoscopy, but in a sexually active adolescent transvaginal endoscopy can be proposed." @default.
- W1584316056 created "2016-06-24" @default.
- W1584316056 creator A5019225467 @default.
- W1584316056 creator A5020149809 @default.
- W1584316056 creator A5029684776 @default.
- W1584316056 creator A5053873727 @default.
- W1584316056 creator A5064297842 @default.
- W1584316056 date "2013-01-01" @default.
- W1584316056 modified "2023-09-23" @default.
- W1584316056 title "Early stage management of ovarian endometrioma to prevent infertility." @default.
- W1584316056 cites W1502130144 @default.
- W1584316056 cites W2007359876 @default.
- W1584316056 cites W2007963957 @default.
- W1584316056 cites W2018994607 @default.
- W1584316056 cites W2041440843 @default.
- W1584316056 cites W2053649459 @default.
- W1584316056 cites W2062555579 @default.
- W1584316056 cites W2076962259 @default.
- W1584316056 cites W2079541795 @default.
- W1584316056 cites W2111297082 @default.
- W1584316056 cites W2115006816 @default.
- W1584316056 cites W2136044953 @default.
- W1584316056 cites W2143886331 @default.
- W1584316056 cites W2158233530 @default.
- W1584316056 cites W2158463125 @default.
- W1584316056 cites W2166041952 @default.
- W1584316056 cites W2167802256 @default.
- W1584316056 cites W2209666626 @default.
- W1584316056 cites W2283560381 @default.
- W1584316056 cites W2405300321 @default.
- W1584316056 cites W2412129142 @default.
- W1584316056 cites W2800048853 @default.
- W1584316056 cites W68538293 @default.
- W1584316056 cites W2262962036 @default.
- W1584316056 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3987377" @default.
- W1584316056 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/24753958" @default.
- W1584316056 hasPublicationYear "2013" @default.
- W1584316056 type Work @default.
- W1584316056 sameAs 1584316056 @default.
- W1584316056 citedByCount "3" @default.
- W1584316056 countsByYear W15843160562015 @default.
- W1584316056 countsByYear W15843160562018 @default.
- W1584316056 crossrefType "journal-article" @default.
- W1584316056 hasAuthorship W1584316056A5019225467 @default.
- W1584316056 hasAuthorship W1584316056A5020149809 @default.
- W1584316056 hasAuthorship W1584316056A5029684776 @default.
- W1584316056 hasAuthorship W1584316056A5053873727 @default.
- W1584316056 hasAuthorship W1584316056A5064297842 @default.
- W1584316056 hasConcept C121608353 @default.
- W1584316056 hasConcept C126322002 @default.
- W1584316056 hasConcept C126838900 @default.
- W1584316056 hasConcept C142724271 @default.
- W1584316056 hasConcept C142773365 @default.
- W1584316056 hasConcept C2775910329 @default.
- W1584316056 hasConcept C2776600139 @default.
- W1584316056 hasConcept C2777688143 @default.
- W1584316056 hasConcept C2778324911 @default.
- W1584316056 hasConcept C2779234561 @default.
- W1584316056 hasConcept C2779522080 @default.
- W1584316056 hasConcept C2780047204 @default.
- W1584316056 hasConcept C2780352672 @default.
- W1584316056 hasConcept C2780559512 @default.
- W1584316056 hasConcept C2780597408 @default.
- W1584316056 hasConcept C2910162304 @default.
- W1584316056 hasConcept C29456083 @default.
- W1584316056 hasConcept C3020135677 @default.
- W1584316056 hasConcept C54355233 @default.
- W1584316056 hasConcept C71924100 @default.
- W1584316056 hasConcept C86803240 @default.
- W1584316056 hasConceptScore W1584316056C121608353 @default.
- W1584316056 hasConceptScore W1584316056C126322002 @default.
- W1584316056 hasConceptScore W1584316056C126838900 @default.
- W1584316056 hasConceptScore W1584316056C142724271 @default.
- W1584316056 hasConceptScore W1584316056C142773365 @default.
- W1584316056 hasConceptScore W1584316056C2775910329 @default.
- W1584316056 hasConceptScore W1584316056C2776600139 @default.
- W1584316056 hasConceptScore W1584316056C2777688143 @default.
- W1584316056 hasConceptScore W1584316056C2778324911 @default.
- W1584316056 hasConceptScore W1584316056C2779234561 @default.
- W1584316056 hasConceptScore W1584316056C2779522080 @default.
- W1584316056 hasConceptScore W1584316056C2780047204 @default.
- W1584316056 hasConceptScore W1584316056C2780352672 @default.
- W1584316056 hasConceptScore W1584316056C2780559512 @default.
- W1584316056 hasConceptScore W1584316056C2780597408 @default.
- W1584316056 hasConceptScore W1584316056C2910162304 @default.
- W1584316056 hasConceptScore W1584316056C29456083 @default.
- W1584316056 hasConceptScore W1584316056C3020135677 @default.
- W1584316056 hasConceptScore W1584316056C54355233 @default.
- W1584316056 hasConceptScore W1584316056C71924100 @default.
- W1584316056 hasConceptScore W1584316056C86803240 @default.
- W1584316056 hasLocation W15843160561 @default.
- W1584316056 hasOpenAccess W1584316056 @default.
- W1584316056 hasPrimaryLocation W15843160561 @default.
- W1584316056 hasRelatedWork W1963783125 @default.
- W1584316056 isParatext "false" @default.
- W1584316056 isRetracted "false" @default.
- W1584316056 magId "1584316056" @default.
- W1584316056 workType "article" @default.